Long-Term Care Pima Medical Institute Online Education HCA410 Student Course Map Introduction What to Read ❑ Topic: Introduction ❑ No assigned reading ❑ Topic: Maturity Continuum ❑ No assigned reading What to Do ❑ Discussion: Introduction (Due 03/13/2021) First post due 03/12/2021 Overview of the Long-Term Care System What to Read ❑ Topic: Long-Term Care Today ❑ Read: Chapter 1 ❑ Topic: Attributes of the Ideal Long-Term Care System ❑ Read: Chapter 2 ❑ Topic: Workforce of the Long-Term Care System ❑ Read: Pages 461-462 What to Do ❑ Assignment: Long-Term Care Today (Due 03/20/2021) ❑ Discussion: Workforce Development (Due 03/20/2021) First post due 03/17/2021 The Aging and Health of America What to Read ❑ Topic: Healthy Aging ❑ Read: No assigned reading ❑ Topic: Age-Related Changes ❑ Read: No assigned reading What to Do ❑ Discussion: Optimizing Healthy Aging (Due 03/27/2021) First post due 03/24/2021 ❑ Assignment: Changes in Aging and Health (Due 03/27/2021) Long-Term Care Service Providers What to Read ❑ Topic: Service Providers Across the Continuum ❑ Read: Chapters 3,4,5,6,7 (skim) ❑ Topic: Care Coordination ❑ Read: No assigned reading What to Do ❑ Assignment: Case Study Analysis (Due 04/3/2021) ❑ Discussion: Care Coordination and Managing Transitions (Due 04/3/2021) First post due 03/31/2021 Financing and Governance of the Long-Term Care System What to Read ❑ Topic: Current Reimbursement Options and Challenges in Long-Term Care Reimbursements ❑ Read: Chapter 10 and pages 211, 470-473. ❑ Topic: Regulation of the Long-Term Care System Last revised 02.23.2018 What to Do ❑ Discussion: Finance and Regulation (Due 04/10/2021) First post due 04/07/2021 Long-Term Care Pima Medical Institute Online Education HCA410 Student Course Map ❑ Read: Chapter 9 ❑ Topic: Governance ❑ Read: Chapter 13 ❑ Assignment: Interview with a LongTerm Care Administrator/Leader (Due 04/10/2021) Ethical Issues and Quality Care in Long-Term Care Organizations What to Read ❑ Topic: Ethical Issues in Long-Term Care ❑ Read: Chapter 12 and page 473 Ethical Case Study Analysis ❑ Topic: Quality Improvement in Long-Term Care ❑ Read: Chapter 11 What to Do ❑ Assignment: Ethical Case Study (Due 04/10/2021) ❑ Discussion: Quality Improvement in Long-Term Care (Due 04/10/2021) First post due 04/07/2021 Leadership in Long-Term Care Organizations What to Read ❑ Topic: Leadership Skills for Long-Term Care ❑ Read: No assigned reading ❑ Topic: Change Management for Long-Term Care ❑ Read: Chapter 14 What to Do ❑ Discussion: Individual Leadership Assessment (Due 04/17/2021) ❑ Assignment: Building Exceptional Leadership (Due 04/17/2021) First post due 04/14/2021 Special Topics for Leadership in Long-Term Care What to Read ❑ Topic: Technology Marketing and Communication ❑ Read: Chapter 15 ❑ Topic: Marketing and Communications ❑ Read: Chapter 14 What to Do ❑ Assignment: Information Technology Interview (Due 04/24/2021) ❑ Discussion: Long-Term Care Marketing (Due 04/24/2021) First post due 04/21/2021 The Future and Trends in Long-Term Care What to Read ❑ Topic: Trends for the Future ❑ Read: Chapters 17 and 18 ❑ Topic: Policy and Advocacy ❑ Read: Chapter 14 Last revised 02.23.2018 What to Do ❑ Discussion: Policy and Advocacy (Due Friday, 04/30/2021) First post due 04/28/2021 ❑ Final Assessment: Critical Analysis (Due Friday, 04/30/2021) Long-Term Care Pima Medical Institute Online Education HCA410 Student Course Map Last revised 02.23.2018 Policy and Advocacy Policy is the most powerful strategy for changing current health care practices, roles, governance structures, or regulation. Policy recommendations are discussed, revised and finalized through the legislative process which then becomes law. Policy changes and eventual laws that are passed begin with the identification of needs or issues which are supported through advocacy. Elder Justice I Am An Advocate A Short Look at Long-term Care for Seniors Advocacy gathers its structure from public health law which includes all legislation, regulations, and court decisions enacted by federal, state and local government to protect the public’s health. Authority is granted by the U.S. Constitution and basically balances individual rights against the need to protect the public. There are three types of law: administrative, judicial and statutory. Statutory law comes from the legislative branch of the government. Judicial or common law is based on previously decided cases, and administrative law comes from the executive branch of the government. Advocacy and support lead us to the development of policies which we strive to translate into legislation. Advocacy Long-term care leaders often encounter situations that bring forth concerns about ethics, quality of care, patient safety, or unmet needs. Long-term care leaders work frequently with some of the most vulnerable members of our communities. Leadership requires advocacy for the individual or the group as well as to effectively communicate with legislators and other concerned groups about creating changes in policy or allocations for funding. Leadership education should focus on legislative issues, lobbying, health policy, and political activism. Basic information—such as how a bill becomes law, critical lobbying techniques, and how to see political development or activism in the form of a framework---will assist long-term care leaders with the critical political influence that will provide a voice for patients, communities, and long-term care organizations. Advocacy is defined by its roots in the legal system and is described as aggressive action taken on behalf of an individual, or a group viewed as an individual entity, to protect or secure that individual’s rights. Long-term care leaders have the responsibility to speak up for people whose rights have been interfered with or endangered in some way. However, this core concept of advocacy cannot supersede the greater good; therefore, causing ethical concerns in decision making for long-term care professionals. Levels of Advocacy Individual advocacy means acting on behalf of an individual. One example is a home health leader assisting an elderly person with caregiver benefits, help with needed medications, etc. Group advocacy can be seen when long-term care leaders act on behalf of the elderly or disabled in introducing new legislation or working to secure funds for new programs or services for Medicare recipients. System advocacy can be seen via the United States’ legislative process and subsequent passage of laws and regulations. Advocacy is a complex concept in that frequent ethical dilemmas occur when determining if an act of advocacy will harm another individual or group in the process. Advocacy is initiated by leaders when they see unfair, unjust, or unhealthy practices for their patients and community. Framework for Advocacy There are many models for building advocacy in organizations but most emphasize the same key components: • Taking action and overcoming obstacles to action • Selecting your issue, clarifying, and drawing attention to it • Understanding your political context—who are the key people you need to influence? • Building your evidence base—doing your homework on the issue and mapping the roles of various players • Engaging others and various organizations for support • Developing strategic plans inclusive of goals/objectives and how to best achieve them • Communication messages and implementing plans • Seizing opportunities for maximum influence • Being accountable to monitor and evaluate the process and impact • Taking a developmental approach to build sustainable capacity throughout the process Advocacy requires becoming politically knowledgeable and engaged. Many health care leaders are not engaged, but in the changing environment and regulation, cannot afford to not be involved and serving as leaders. Advocacy in Long-Term Care One result of the growth of the elderly, both in numbers and in their need for long-term care services, has been their growing political power. Since the 1990s, the elderly have become a well organized, potent and much listened to constituency. Formal organizations such as AARP, the Council of Senior Citizens, The National Council on Aging, and the Gray Panthers, have learned how to advocate for their needs with Congress and in their State Legislatures. In addition, they have been assertive in identifying the type of care and services they want and have had a voice in Medicare restructuring and health care reform. Some of the current advocacy issues around older adults are abuse, victimization, lack of resources for medications, and access to affordable care and housing. Long-term care leaders should know this constituency, become knowledgeable about their positions, build relationships locally with advocacy groups, and become a source of data about the industry. Level 1 Level 2 Level 3 . . . Short answers: Follow assignment directions. Write answers in your own words, no copying and pasting from websites or other sources. Use complete sentences and well- formed paragraphs with appropriate syntax. Avoid using contractions and personal pronouns. Proofread, check spelling and grammar prior to submission. Use correct punctuation and capitalization. Informal essays or projects: Incorporate all Level 1 guidelines. Use effective paragraph transitions Include a clear introduction, body, and conclusion. Use Arial or Times 12-point font Double-space your text Set page margins to one inch Use reliable sources, cited properly within the text and listed on a references page when indicated. Formal papers: Incorporate all Level 1 and 2 guidelines. Include a cover page that has your name, the paper title, instructor's name, course title or number, and date of submission. In-text citations REQUIRED for paraphrasing and/or direct quotes. These should comprise no more than 20% of the essay. Citations in the body text must include author's name and publication year. Reference page at the end. References must include author, title, publication title, publication year, and source or retrieval information.
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